CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Midwest Orthopedic Specialty Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$501
about 2.1× the $244 Medicare rate · typically $263–$630
modeled estimate · not a bill or quote
What this hospital charges insurers
$518
About the fair price
about $17 over the fair price · 2.1× Medicare
Medicare pays $244 Fair price $501 This hospital $518 Cash price $1,212 Hospital's list price $2,287

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $77 Priciest $518

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $501 (about 2.1× the $244 Medicare rate). Midwest Orthopedic Specialty Hospital charges insurers about $518, or about $1,212 in cash — about the fair price. Located in Franklin, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Cigna Blue Cross Blue ShieldAetnaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $518 212%
Cignamajor $1,784 732%
+ 2 smaller / regional plans $329 - $724
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 10101 South 27Th St 2Nd Floor, Franklin, WI 53132
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals